Individual
JENNIFER MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4658 MISSION DR, DECATUR, IL 62526-9269
(217) 972-1242
Mailing address
4658 MISSION DR, DECATUR, IL 62526-9269
(217) 972-1242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003550
IL
2255A2300X
Athletic Trainer
2601001280
MI
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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